Wald Score Research Articles

Analisis Kepatuhan Berobat Hipertensi ditinjau dari Fungsi Pemeliharaan Kesehatan Keluarga dan Respon Spiritual di desa Kadungrejo Baureno Bojonegoro

Unknowingly developing into a condition that can lead to major illnesses and have a big impact on everyone's health, hypertension (HT) is a degenerative disease that results from anomalies in blood vessel flow (Udjianti, 2012). This condition is brought on by living an unhealthy lifestyle, treating hypertension improperly or completely, and other co-morbidities that raise the state of hypertension. This study's goal was to examine how religious response and family health were maintained by adherence to hypertension therapy in Kadungrejo Baureno Village, Bojonegoro. This study's design employs cross sectional analysis utilizing observational data. 72 persons made up the study's total population, while 61 respondents made up the sample. According to the study's findings, adherence to treatment among hypertension patients is moderate, with 33 respondents (54.1%), the role of maintaining family health among hypertension patients is moderate, with 40 respondents (65.6%), and the spiritual response among hypertension patients is quite positive, with 36 respondents (59.0%). Based on the ordinal regression test's findings, the value was 0.000 (<0,05), has a wald score of 15,263 for the spiritual response and 133,754 for the family health maintenance function. According to the study's findings, there is a significant correlation between hypertension patients' adherence to treatment and their ability to preserve their family's health as well as their spiritual reactions in the hamlet of Kadungrejo Baureno Bojonegoro.

Digital skills in the development of creativity of teachers of a public university in lima

The study set out to determine how digital skills influence the development of teachers' creativity. The paradigm was positivist; the type of research, basic with a causal correlational transectional non-experimental design; the approach was quantitative and the type of sampling, probabilistic. Regarding the sample, it was composed of 123 teachers. For data collection, two questionnaires with high reliability and internal consistency were used, reaching 0.779 for the digital skills questionnaire and 0.802 for the development of creativity. The results indicated that 2.4% of the respondents showed an inadequate level of digital skills and 16.3%, a medium level in relation to the development of creativity. Likewise, a Wald score of 1259.565 with a significance of 0.000 was obtained, the fit of the model and Pseudo R2 shows a Nagelkerke value of 0.428; and the likelihood ratio contrast test indicates that the logistic model is significant with a Chi square of 11.299. It is concluded that digital skills significantly influence the development of creativity.

Identification of abstract features presented at the combined otolaryngology spring meeting predicting publication in impactful peer-reviewed journals.

ObjectivesReview abstracts presented at the Combined Otolaryngology Society Meeting (COSM) to determine subsequent publication and identify abstract features predictive of publication in high impact journals.MethodsA selection of abstracts accepted in the 2015 COSM scientific programs were retrospectively reviewed. MEDLINE searches via PubMed and Google Scholar were performed to determine publication rates. The Journal of Citation Reports was used to determine impact factors for published abstracts. Binomial regression analyses were used to identify factors related to publication in high impact journals.Results62.4% of reviewed abstracts (n = 623) were subsequently published, with a mean publication time of 14 ± 12 months. features predictive of publication were basic science type, other science type, prospective studies, multi‐institutional involvement, and presentation at the American Laryngologic Association and American Otologic Society meetings. Based on Wald score, podium presentation was found to have the biggest effect on publication. Factors positively associated with publication in high impact (impact factor > 2.272) journals were increased author number and sample size.ConclusionsOverall publication rate of abstracts selected for presentation at COSM in 2015 was on the higher end of previously reported otolaryngology meetings. s detailing basic science, other science, prospective and multi‐institutional studies were more likely to lead to future publication. Additionally, increased number of authors and sample size lead to publication in higher impact journals.Level of EvidenceN/A.

Frequency, Trends, and Outcomes of Cerebrovascular Events Associated With Atrial Fibrillation Hospitalizations

The main objective is to estimate the frequency, temporal trends, and outcomes of cerebrovascular events associated with atrial fibrillation (AF) hospitalization in the United States. The national inpatient sample data was utilized to identify hospitalizations with a primary or secondary diagnosis of AF from January 1, 2005 through September 31, 2015 for the present analysis. Jonckheere-Terpstra Trend was utilized to analyze trends from 2005 to 2015. Global Wald score was used to assess relative contributions of various covariates towards stroke among AF hospitalizations. Between the years 2005 and 2015, there were 36,457,323 (95.2%) AF hospitalizations without cerebrovascular events and 1,824,608 (4.8%) with cerebrovascular events included in the final analysis. There was a statistically significant increase in the proportion of overall stroke, AIS, and AHS (ptrend value <0.001) per 1,000 AF hospitalizations. The frequency of stroke per 1,000 AF hospitalizations was highest among patients with CHA2DS2VASc score ≥3 and Charlson's comorbidity index ≥3. The trend of in-hospital mortality decreased during the study period, however, it remained higher in those with cerebrovascular events compared to those without. Lastly, hypertension, advancing age, and chronic lung disease were major stroke predicting factors among AF hospitalizations. These cerebrovascular events were associated with longer length of stay and higher costs. In conclusion, the incidence of cerebrovascular events associated with AF hospitalizations remained significantly high and the trend continues to ascend despite technological advancements. Strategies should improve to reduce the risk of AF-related stroke in the United States.

Abstract P160: Racial Differences in the Association of NTproBNP With Risk of Incident Heart Failure in REGARDS Participants

Background: Black individuals have lower N-terminal-pro-B-type natriuretic peptide (NTproBNP) levels than whites. Higher NTproBNP levels are associated with increased risk of incident heart failure (HF). Although, the ability of NTproBNP for risk stratification is variable in the setting of obesity and kidney disease. We studied the 1) association of NTproBNP with incident HF stratified by race and 2) tested the predictive ability across body mass index (BMI) and estimated glomerular filtration rate (eGFR) categories. Methods: Using a case-cohort design, NTproBNP levels were measured from the Reasons for Geographic And Racial Differences in Stroke study for 855 participants who subsequently developed incident HF and 3,680 randomly selected participants. Multivariable Cox proportional hazard modeling including all the factors which can affect NTproBNP levels was used to assess 1) the association of NTproBNP with incident HF; 2) interaction by race, and 3) predictive ability of NTproBNP based on percentage contribution in global Wald Chi-square score across BMI and eGFR categories. Results: The mean age of the random sub-cohort was 66.6 (12.1) years, 1,847 (50.2%) were females and 1,775 (48.2%) were blacks. The magnitude and strength of the relationship of NTproBNP with incident HF differed by race (p=0.01 for interaction). A doubling in NTproBNP levels was associated with greater risk of incident HF among whites [(hazard ratio (HR): 1.82; 95% CI: 1.62-2.04] compared with blacks (HR: 1.54; 95% CI: 1.35-1.75). NTproBNP remained a strong predictor (25%-50% Wald score) of incident HF across all BMI and eGFR categories in whites. However, among blacks with obesity (BMI ≥ 30 kg/m 2 ) and eGFR ≤60 mL/min/1.73 m 2 , NTproBNP was a weak predictor of incident HF (&lt;7% Wald score) ( Figure ). Conclusions: Higher NTproBNP was more strongly associated with incident HF among whites compared with blacks. The predictive ability of NTproBNP levels with incident HF was preserved with obesity and impaired renal function among whites, but not in blacks.

Survey of Toxoplasma gondii Exposure in Muskrats in a Relatively Pristine Ecosystem.

Waterborne transmission of Toxoplasma gondii is assumed to be enhanced in areas with human-altered landscapes (e.g., urbanization, agriculture) and increased populations of non-native domestic and feral cats (Felis catus). However, little is known concerning T. gondii exposure risks in more natural watersheds (e.g., reduced human footprint, no domestic or feral cats) to establish a baseline for comparisons. In this study, muskrats (Ondatra zibethicus) were used as sentinels to assess baseline T. gondii exposure in a relatively pristine watershed in the Greater Voyageurs Ecosystem, northern Minnesota, during the summers of 2018-2019. Toxoplasma gondii antibodies were assayed in sera of live-trapped muskrats (n = 70) using a modified agglutination test. None of our samples were positive for T. gondii antibodies (P = 0.00, 95% Wald Score Confidence Interval = 0.00-0.05). This study establishes a baseline to compare T. gondii waterborne transmission risks in other human-modified watersheds.

Level Of 25(OH)D Serum, Expression of Interleukin 4 And Glucocorticoid Receptor of Mononuclear Cell In Steroid Resistance Nephrotic Syndrome Children

Nephrotic syndrome (NS) is autoimmune disease and its steroid resistance status supposed correlate with 25(OH)D level and IL-4 expression. The aimed of this study was investigated 25(OH)D plasma level, IL-4 and GR expression of PBMC in steroid sensitive and resistant pediatric NS patients and the association of those parameters . 27 subjects were divided into three groups (control group, steroid resistant NS group, and steroid sensitive NS group). Peripheral blood mononuclear cells (PBMCs) isolated using Ficoll-Hypaque method. Plasma 25(OH)D level was measured using ELISA method. IL-4 and GR expression were measured using flowcytometry of PBMCs. This study showed that 25(OH)D level and GR expression were significantly different in control group compared to steroid resistant NS group (p 0.05). Plasma 25(OH)D level, IL-4 and GR expression were not contributed in steroid resistance in NS patients. However, GR expression has highest contribution in steroid resistance of NS patient (Wald score 1.198 ). Plasma 25(OH)D level and GR expression was lower in steroid resistant NS group. GR expression has a highest contribution in steroid resistance of NS patients.

Prenatal diagnosis of cardiac defects: accuracy and benefit

The prenatal diagnosis of cardiac defects can potentially reduce postnatal morbidity and mortality. We wanted to evaluate prenatal cardiac diagnosis accuracy in a population referred for echocardiography. Single centre retrospective study of echocardiography referrals between April 1999 and December 2008. We compared the prenatal and postnatal cardiac diagnoses, the modified Aristotle and Wald scores. The final diagnosis Wald score was used to evaluate benefit. Six hundred fetuses were included. Diagnoses included: normal heart (312, 52%); congenital heart defect (CHD) (231, 38.5%); primary arrhythmia (39, 6.5%); or cardiomyopathy, myocarditis or cardiac tumor (18, 3%). The prenatal and postnatal Aristotle and Wald scores correlated in 81% and 86%, respectively, each with significant differences in 22 cases. Four significant CHDs were misdiagnosed, the surgical prediction was incorrect in 7 and 13 false positive diagnoses of aortic coarctation were made. In 76% (455/600) fetuses prenatal diagnosis was considered beneficial. The average CHD Aristotle score was 9.5 ± 5.0. In babies with CHDs and normal karyotype the score was either 6.5 ± 5.0, 12.9 ± 3.1 or 13.2 ± 2.9, in survivors, cases of postnatal demise and cases of pregnancy termination, respectively. Prenatal diagnosis was accurate and the counselling appropriate in most cases; however, a few errors were made. The diagnosis of aortic coarctation remains challenging.

Relationship between wheelchair durability and wheelchair type and years of test

Objective. To investigate the relationship between the durability of wheelchairs according to American National Standard for Wheechairs/Rehabilitation Engineering and Assistive Technology Society of North America (ANSI/RESNA) Wheelchair Standards and wheelchair type as well as year of test.Design. A retrospective study design with a sample of 246 wheelchairs that were tested in accordance with the ANSI/RESNA standards from 1992 to 2008 including four types of wheelchairs: manual wheelchair (MWC), electrical powered wheelchair (EPW), scooters and pushrim-activated power-assisted wheelchair (PAPAW). Unconditional binary logic regression analysis was chosen to evaluate the relationship between test results and test year as well as wheelchair type.Setting. Rehabilitation Engineering Research Center.Main Outcome Measures: Wheelchair durability test result (fatigue test: pass or fail)Results. There was no significant correlation between the year when tested and equivalent cycles. A significant relation was found between test results and wheelchair type (Wald score = 10.845, degree of freedom = 3, p = 0.013) with scooters having a significantly higher pass ratio than MWC (OR = 15.629, 95% CI = 2.026–120.579). EPW also had significantly higher pass ratio than MWC (OR = 1.953, 95% CI = 1.049–3.636). No significant difference on pass ratio was found between PAPAW and MWC.Conclusions. No significant improvements in wheelchair test results during the time frame from 1992 to 2008 were discovered. Wheelchair standard tests should be conducted to assure minimum quality of the wheelchairs and for improving the design of wheelchairs. Although the ANSI/RESNA wheelchair durability test procedures have remained consistent, it does not appear that the introduction of new materials, designs and the availability of test data have improved wheelchair fatigue life.

Diffusion-weighted and Conventional MR Imaging in Neonatal Hypoxic Ischemia: Two-year Follow-up Study

To establish the supplemental value of diffusion-weighted (DW) magnetic resonance (MR) imaging beyond conventional MR to predict clinical outcome after neonatal hypoxic ischemia (HI) at 2 years of age. Forty-six infants with neonatal HI were enrolled in this prospective study, after approval by the local ethical committee and informed consent of the parents. Neonatal MR imaging ranged from 1 to 45 days after birth. Apparent diffusion coefficient (ADC) was measured in 14 brain regions. DW and conventional images were qualitatively scored for abnormalities, resulting in cumulative scores and patterns of damage. Surviving infants were scored for motor outcome at the age of 2 years, and outcome was classified as poor if the motor score was less than 70 or in case of death. Analyses were performed for the whole group, with additional analyses for the early (0-4 days after birth) and late (>4 days after birth) imaging groups. Twenty-five infants had a good outcome and 21 had a poor outcome. Only in the early imaging group, the infants with poor outcome had significantly lowered ADC values in several brain areas, with the posterior limb of the internal capsule being the most predictive (Wald score = 5.7; P = .017). Cumulative scores of DW imaging were the best predictor of poor motor outcome at the age of 2 years (Wald score = 7.2, P < .01). The basal ganglia and central cortex and the diffuse pattern of brain damage were highly associated with poor outcome (Fisher exact test = 29.8; P < .001). In neonatal HI, DW imaging is a useful additional MR technique to predict the motor outcome at 2 years. Local ADC values had a limited value. Recognition of the patterns of brain damage with DW and conventional MR imaging can be used as a diagnostic tool in neonatal HI.